No, I think he's that dumb. Look at the lies the Bush Jr. team came up with before the Iraq invasion. Those were great lies; handcrafted with Old World dedication and aged in oak barrels until they were perfect.
Specifically, I was referring to medical professionals and hospital workers I knew. Detox units and rehab was a part of the system, but people who dealt with alcoholics and addicts of all types every day would still say it was a matter of will power and not an illness.
I used to work in public health, and even among educated people there was a lot of prejudice against the idea that addiction was beyond the individuals control.
https://www.snopes.com/fact-check/tech-billionaire-parents-limit/